Job Responsibilities
Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility.
Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection.
Processing of claims as per regulatory guidelines.
Adhering to the TATs in processing.
Quality review of processed files.
Grievance redressal, handling escalations and identifying the fraudulent claims
Preferred Qualification
Educational Qualification must be BAMS (Bachelor of Ayurvedic Medicine & Surgery Science), BHMS (Bachelor of Homeopathic Medicine & Surgery), BDS (Bachelor of Dental Surgery)
Freshers with above qualification can also apply.
Candidate must be comfortable with rotational week-off on roster basis
📌 Manager Health Claims Industrial Area
🏢 TATA AIG General Insurance Company
📍 Industrial Area
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